scholarly journals ASSESSMENT OF RISK FACTORS AND DETERMINING THE LEVEL OF PREVENTABLE FETAL DEATH IN WOMEN WITH TROUBLED PREGNANCY

2020 ◽  
Vol 22 (1) ◽  
pp. 14-21
Author(s):  
Markhabo Kamilova ◽  
◽  
Parvina Dzhonmakhmadova ◽  
Farangis Ishan-Khodzhaeva ◽  
◽  
...  
Keyword(s):  
Risk Factors ◽  
Fetal Death ◽  
Perinatal Audit ◽  
Individual Observation ◽  
Fetal Malformations ◽  
History Of ◽  
Common Risk Factors ◽  
The Republic ◽  
Causes And Risk Factors

Objective: To examine the risk factors of stillbirth in the Republic of Tajikistan. Methods: Maps of individual observation of the course of pregnancy and the history of births of women with antenatal and intranatal fetal death in institutions of III and II levels have been studied. Retrospectively has been conducted the clinical audit of 187 cases of stillbirth. Results: The main causes of stillbirths were intrauterine growth retardation syndrome and fetal malformations. The most common risk factors for stillbirth were factors associated with inadequate medical care and factors related to family and women. At the same time, most of the cases of antenatal fetal death (83%) and intranatal fetal death (74%) were preventable or conditionally preventable. Conclusions: Our research confirms the need for perinatal audit, which aims to find the causes and risk factors of stillbirth with the subsequent implementation of solutions to prevent such cases of stillbirths in the future. Keywords: Stillbirths, antenatal fetal death, intranatal fetal death, classification of the ReCoDe, risk factors, levels of, levels of preventable stillbirth

scholarly journals Ischemic stroke in children depending on risk factors

2021 ◽  
Vol 64 (2) ◽  
pp. 5-11
Author(s):  
Mariana Sprincean ◽  
◽  
Svetlana Hadjiu ◽  
Cornelia Calcii ◽  
Nadejda Lupusor ◽  
...  
Keyword(s):  
Risk Factors ◽  
Ischemic Stroke ◽  
Perinatal Period ◽  
Genetic Syndromes ◽  
Neonatal Encephalopathy ◽  
Single Risk Factor ◽  
History Of ◽  
Common Risk Factors ◽  
The Republic ◽  
Amniotic Membranes

Background: Ischemic stroke (IS) in children is a major neuropediatric emergency. The incidence of stroke in children is from 2 to 13 for 100000 children. IS in perinatal period occurs in 1 for 2300 – 5000 live births. Material and methods: In 2010 – 2019 in the Republic of Moldova was carried out a retrospective as well as prospective study on a cohort of 458 children diagnosed with stroke. Were studied possible risk factors related to IS. Out of 458 children, 284 children with IS were selected and diagnosed during the reference period. Results: IS was determined in 284 cases with the diagnosis of stroke (62%, 95CI 59.73-64.27). Among the most common risk factors for the development of neonatal IS are pathologies of amniotic membranes in 113 cases (39.8%, 95CI 36.9-42.7), pathologies of amniotic fluid with meconium in 135 cases (47.5%, 95CI 44.54-50.46), and history of urgent caesarean section in 132 cases (46.5%, 95CI 43.54-49.46). Among the etiological causes of IS in the studied children were: congenital heart anomalies in 52 cases (18.3%, 95CI 16.01-20.59), neonatal encephalopathy in 27 cases (9.5%, 95CI 7.76-11.24), genetic syndromes in 18 cases (6.3%, 95CI 4.85-7.75), sickle cell disease – 5 (1.8%, 95CI 1.06–2.54), MELAS syndrome – 4 (1.4%, 95CI 0.7-2.1). Conclusions: IS risk factors are an important problem in clinical research. Most often, there is not a single risk factor responsible for the development of IS in children

scholarly journals Analytical epidemiology of multiple sclerosis in the Republic of Kabardino-Balkaria

2021 ◽  
Vol 13 (1S) ◽  
pp. 10-14
Author(s):  
L. B. Tlapshokova ◽  
A. R. Zikhova
Keyword(s):  
Risk Factors ◽  
Multiple Sclerosis ◽  
Environmental Factors ◽  
Scarlet Fever ◽  
Disease Onset ◽  
Clinical Manifestations ◽  
Control Group ◽  
Place Of Residence ◽  
History Of ◽  
The Republic

Multiple sclerosis (MS) is a common autoimmune disease, which etiology includes a complex of genetic and environmental factors. Data suggests that their interaction can influence the age of the clinical manifestations and the course of the disease. Therefore, the study of risk factors of MS in regions with different ethnic compositions of the population and climatic and geographical characteristics is of considerable interest.Objective: to study MS risk factors prevalence in the Republic of Kabardino-Balkaria (RKB).Patients and methods. This case-control study of the representation of risk factors included a cohort of 112 MS patients living in two regions of the RKB (Nalchik and the Prokhladnensky district). The MS diagnosis was established with the McDonald criteria (2017). MS risk factors were assessed with a unified questionnaire. 112 respondents (matched by the main demographic characteristics and place of residence) were included in the control group.Results and discussion. MS patients from the Prokhladnensky district were significantly more likely to contact harmful chemical compounds, had higher consumption of smoked meat products; and suffered from viral infections more often (all differences were significant, p<0.05). More patients with MS, regardless of their place of residence, had a history of scarlet fever than the controls (n=23; 19.5% and n=14; 13.4%, ratio indicator 0.43 (95% CI 0.32–1.01), p=0.041), and the maximum significance of this factor was found in patients who suffered from scarlet fever after the age of 15 years (n=7; 6.3% and n=1; 0.9%, ratio indicator 2.45 (95% CI 1.92–3.21), p=0.041). More patients with MS had a history of chickenpox (n=70; 62.5% and n=55; 41.1%; ratio indicator 0.78 (95% CI 0.65–0.94, p=0.032), the frequency of this factor was most significant in early (up to 7 years) disease onset. Regardless of the place of residence, patients with MS were more likely to suffer from tonsillitis and sinusitis in childhood (p=0.032).Conclusion. In the RKB, as in other regions of the Russian Federation, the risk of MS, along with a genetic predisposition, is primarily determined by environmental factors, such as contact with potentially harmful chemicals, history of somatic diseases, characteristics of the ecological situation, etc. Therefore, MS risk is higher in people exposed to these factors before the age of 7 years and does not depend on the place of residence. 

scholarly journals Awareness of diabetes in the population of Greenland

2018 ◽  
Vol 7 (1) ◽  
pp. 56
Author(s):  
Michael Lynge Pedersen
Keyword(s):  
Risk Factors ◽  
Cross Sectional Study ◽  
Undiagnosed Diabetes ◽  
Cross Sectional ◽  
Telephone Contact ◽  
Information Strategies ◽  
History Of ◽  
Common Risk Factors ◽  
Objective Type

Objective: Type 2 diabetes (T2D) may develop slowly with few symptoms and may remain undetected for many years, leading to severe complications that potentially could have been prevented with timely diagnosis and treatment. Undiagnosed diabetes has been reported high in Greenland. However, awareness and knowledges about diabetes in the general population remains unexplored.Methods: This study was performed as an observational cross sectional study based on telephone interview among a random sample of Greenlanders. The interview was performed in Greenlandic or Danish according to participant’ preference and included information about age, gender, place of birth, place of residence, medical history of diabetes, awareness of the diabetes, risk factors, symptoms, complications, and local possibilities to get tested for diabetes.Results: In total, telephone contact was established with 196 adults. Of those, 161 participants completed the interview while 35 were unwilling to participate in the interview corresponding to a response rate of 82% (161/196). The majority of responders, 85.7%, were aware of diabetes and local testing possibilities. However, only around 65% were aware of risk factors of diabetes. Also, the knowledge about common symptoms of diabetes was quite low, around 50%, and in particular low, around 40%, among males and inhabitants in settlements.Conclusions: The vast majority of the population was aware of diabetes. However, the present study revealed shortage of knowledge of common risk factors, symptoms, and complications to diabetes. This is challenging the effort to prevent diabetes and new alternative information strategies are needed. Furthermore, the shortage of knowledges of risk factors may not be isolated to diabetes and further studies on health literacy in Greenland are recommended.

scholarly journals Anthroponimic geographical names of the Republic of Mari El of Tatar origin: toponymic zones

2020 ◽  
Vol 12 (3) ◽  
pp. 259-285
Author(s):  
Flera Ya. Khabibullina ◽  
Iraida G. Ivanova
Keyword(s):  
Social Status ◽  
The Body ◽  
Middle Volga Region ◽  
Material Wealth ◽  
Financial Status ◽  
Personal Names ◽  
History Of ◽  
The Republic ◽  
Historical Comparative

Introduction. The article considers anthroponymous toponyms of Tatar origin in the Republic of Mari El in reference to the genesis and history of movement and contact of the peoples of the Middle Volga region. The purpose of the article is to study the Tatar-Mari toponymic zoning based on the otantroponym oikonyms, which go back to the Tatar language. Materials and Methods. The analysis of toponymic material is associated with the use of various approaches: comparative-historical, comparative, as well as such research methods: the method of component analysis of toponymic units; areal, descriptive, structural, etymological, statistical, cartographic. The body of the research is represented by otanthroponymic oikonyms, selected from cartographic and lexicographic sources created in the Russian, Mari and Tatar languages, in the number of 129 units. Results and Discussion. The Tatar-Mari interactions on the territory of the Republic of Mari-El are concentrated in two main zones: the Tatar-mountain-Mari toponymic zone and the Tatar-meadow-Mari zone. The article defines the basic principles of the nomination of anthroponymous toponyms, provides a classification of toponyms by objects of the toponymic nomination in each of the topozones, and also highlights parallel names. The analysis also makes it possible to trace the patterns of placement of toponymic objects on the territory of the the Republic of Mari-El. Analysis of the identified borrowings from the Tatar language makes it possible to clarify their territorial localization in the territory of Mari El. Oikonyms formed on the basis of Tatar personal names are most common in areas of compact residence of Tatars, as well as in border areas with the Republic of Tatarstan, due to trade and economic, historical and political, administrative, territorial, and geographical factors. The main principle underlying the Mari otantroponym oikonyms was their nomination based on the relationship with a person: their social status; class affiliation; profession; social interactions; place and role in the family hierarchy; human character; appearance; clothing; qualities of a person; their financial status; etc. Conclusion. The names of Mari anthroponymous topoobjects of Tatar origin were implemented in importing Tatar values that are significant for the Mari ethnic group and go back to Tatar names: material wealth, high social status, respect for parents and elders, health and strength of body, friendship, kindness, firmness and strength of character, cleanliness and neatness in clothing.

scholarly journals Study of mortality risk factors for children under age 5 in Abu Dhabi

2021 ◽  
Vol 9 (3) ◽  
pp. 333-343
Author(s):  
H. A. Al Hosani ◽  
J. Brebner ◽  
A. B. Bener ◽  
J. N. Norman
Keyword(s):  
Risk Factors ◽  
Child Mortality ◽  
Formal Education ◽  
Fetal Death ◽  
Child Death ◽  
Risk Groups ◽  
Abu Dhabi ◽  
Economic Risk ◽  
Chi Squared ◽  
History Of

We investigated the association of biological, sociocultural and economic risk factors with child mortality in Abu Dhabi from 1 January-31 December 1997. With McNemar chi-squared test, most selected biological risk factors were statistically associated with child mortality, although maternal age older than 40 years and history of fetal death were not positively correlated with neonate, infant or age under 5 mortality. Among sociocultural and economic risk factors, maternal lack of formal education and low monthly income were significantly associated with child death. Consanguinity was significantly associated with under 5 and infant but not neonatal mortality. Gestation <37 weeks was highly associated with mortality among all ages. Strengthening health care programmes and emphasizing the need to identify high risk groups should be priorities

Acute joint pain

2015 ◽  
Author(s):  
Hugo Farne ◽  
Edward Norris-Cervetto ◽  
James Warbrick-Smith
Keyword(s):  
Risk Factors ◽  
Septic Arthritis ◽  
Cruciate Ligament ◽  
Renal Stones ◽  
Acute Onset ◽  
Joint Function ◽  
Prosthetic Joints ◽  
History Of ◽  
Common Risk Factors ◽  
Anterior Cruciate

The ‘must exclude’ diagnosis is septic arthritis. Not only can it destroy articular cartilage within days if not treated (hence permanently reducing joint function), but it is also associated with a mortality of about 10% due to underlying bacteraemia. Remember that pain may be referred from elsewhere. For example, hip pathology may present as knee pain, and lumbar spine pathology may present as hip pain. The causes of a single, acutely painful joint include those shown in Figure 27.1, with larger font size highlighting those that are more common. • Pain. You should characterize the pain as for any other pain along the lines of SOCRATES (see Chapter 1). Pain that worsens with movement and improves with rest is likely to be non-inflammatory. An acute onset (hours) is consistent with septic arthritis, gout/pseudogout, and trauma. A more insidious onset is more common in conditions like bursitis and tendonitis, where the relevant anatomical structure becomes inflamed with overuse. Chronic onset suggests osteoarthritis (note that some rheumatologists prefer the term osteoarthrosis to reflect the fact that the inflammation is not the primary pathology). The severity of pain can usefully be assessed by asking about joint function—for example, can the patient weight bear? • Trauma. Mr Sullivan has already said he does not remember there being any trauma, but you must always ask and make sure. Even the slightest of knocks can cause significant pain. However, this does not exclude other diagnoses—trauma can precipitate infection or gout, for example. • Common risk factors for gout. There are many potential causes of gout, but the more common ones that you should ask about include use of thiazide diuretics, recent heavy alcohol intake, chronic renal failure, and chemotherapy (high cell apoptosis, leading to degradation of DNA and excess urate). A history of renal stones or previous episodes of gout also makes gout more likely. • Common risk factors for septic arthritis. Again there are many possible risk factors, but the key ones are immunosuppression (e.g. diabetes, HIV, steroid use) and any prosthetic joints. • Risk factors for haemarthrosis. Typically due to a coagulopathy (e.g. classically haemophilia), anticoagulant use (typically warfarin) or trauma (e.g. a ruptured anterior cruciate ligament in the knee).

To Assess the Renal Functions and Common Risk Factors of its Impairment in A Group of General Population

2021 ◽  
Vol 15 (11) ◽  
pp. 3017-3019
Author(s):  
Rehma Dar ◽  
Lubna Shaheen ◽  
Iqra Masood
Keyword(s):  
Risk Factors ◽  
Renal Function ◽  
General Population ◽  
Kidney Diseases ◽  
Diagnostic Laboratory ◽  
Renal Functions ◽  
History Of ◽  
Common Risk Factors ◽  
Medical University ◽  
Renal Function Tests

Background: In Pakistan more than 25 million people are suffering from kidney diseases. Kidney damage can be detected at earlier stage by simple laboratory tests like renal function tests, proteinuria and estimated Glomerular Filtration Rate (GFR). Objective: To assess renal functions and common risk factors of its impairment in a group of general population on world kidney day 2018. Materials and Methods: It is a descriptive study conducted in Central Diagnostic Laboratory, Mayo Hospital/ King Edward Medical University (KEMU), Lahore It was carried out on 158 Healthy subjects without history of renal disease. All collected data was entered and analyzed by using Statistical package for social sciences (SPSS version 20). Results: 85(54%) were males and 73(46%) females. Mean + SD age was 44.3 ±13.9 years. 50(32%) were hypertensive, 30(19%) were hyperglycemic, 28(18%) had proteinuria, 30(19%) had Hyperuricemia and 18(12%) had increased creatinine levels. Mean ± SD glucose, creatinine and uric acid levels were 130± 30, 1.2± 0.7 and 4.5± 1.3 mg/dl respectively. Conclusion: Screening of subjects without renal known disease with diagnosed hypertension, diabetes or hyperuricemia as risk factors for CKD is required. 18 undiagnosed cases of CKD were identified in this survey. Keywords: risk factors, CKD, Renal function test.

Major Factors Associated with Congenital Malformations in the Agadir Region of Morocco

2020 ◽  
Vol 3 (8) ◽  
Author(s):  
SAID EL MADIDI
Keyword(s):  
Risk Factors ◽  
Congenital Malformations ◽  
International Classification Of Diseases ◽  
The Body ◽  
Explanatory Variables ◽  
Classification Of Diseases ◽  
History Of ◽  
Major Factors

Introduction: Congenital malformations are a global health problem around the world. MCs is one of the main causes of death and disability of newborns worldwide, but the majority of its risk factors are still poorly understood. Objective: The aim of this study is to determine the main causes that are related to the incidence of congenital malformations (CMs) in the region of Agadir in Morocco. Material and Methods: A prospective cases-control study at regional level was conducted in the pediatrics and neonatology department of Hassan II hospital in Agadir from April 2016 to April 2018. Data on child and maternal variables were recorded for 3701 newborns. The types of congenital malformations  have been classified according to the codes of the International Classification of Diseases. Univariate analyzes were performed to identify the variables associated with the etiology of the malformations. Multiple logistic regression was used to characterize the associations between the MC and the determining explanatory variables taken into account simultaneously. Results: The results of these studies showed that there is a significant association between the incidence of the Congenital anomalies and the level of the consanguinity of the child, the prematurity of childbirth, the family history of CMs, the body mass index of the mother and the presence of major trauma during pregnancy. Conclusion: our results have made it possible to highlight the existence of an association between a certain number of risk factors and the occurrence of congenital malformations. Additional studies are needed to confirm and clarify the role of these risk factors.

scholarly journals CORRELATION BETWEEN AHLBÄCK CLASSIFICATION AND GONARTHROSIS RISK FACTORS

2018 ◽  
Vol 26 (4) ◽  
pp. 240-243 ◽  
Author(s):  
Paulo Alvim Borges ◽  
Mauro Henrique José De Almeida ◽  
Lucas Moura Araújo ◽  
Junji Miller Fukuyama ◽  
Fernando Yukio Umada ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Case Control Study ◽  
Sedentary Lifestyle ◽  
Positive Association ◽  
Level Of Evidence ◽  
History Of ◽  
Control Study ◽  
Radiographic Classification

ABSTRACT Objective: To demonstrate whether or not there is a correlation between the risk factors for gonarthrosis and the radiographic classification of Ahlbäck. Methods: We studied patients with primary gonarthrosis attended at the knee outpatient clinic of the General Hospital of Vila Penteado during their routine visit. We collected data on patient age (years), weight (kg), height (meters), body mass index (BMI = patient weight/height2), personal history of hypertension or diabetes mellitus (positive or negative), sedentarism (physical activity less than three times per week, 30 minutes per session), functional demand (how many blocks walked weekly), time of onset of symptoms (in years) and laterality or bilaterality. The data were correlated with the Ahlbäck classification applied to the radiographs performed at the time of the consultation. Results: A sample of 108 patients was studied. We did not find an association between the Ahlbäck classification and the patient's age, smoking, sedentary lifestyle, laterality, number of blocks walked per week, diabetes mellitus, and sex; however, a positive association was observed in hypertensive patients as well as a weak correlation with height and weight of the patient and moderate correlation with BMI. Conclusion: The Ahlbäck classification is unrelated to most of the risk factors for primary gonarthrosis. Level of evidence III, Case-control study.

Analysis of Factors Related to Cerebral Infarction after Direct Bypass Surgery in Adults with Moyamoya Disease

2020 ◽  
Vol 49 (1) ◽  
pp. 55-61
Author(s):  
Yun Qian ◽  
Bin Huang ◽  
Zongmin Hu ◽  
Jian Wang ◽  
Peng Zhao ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cerebral Infarction ◽  
Clinical Data ◽  
Moyamoya Disease ◽  
Bypass Surgery ◽  
Clinical Manifestations ◽  
History Of ◽  
Direct Bypass ◽  
Nonoperative Side

Objective: High-risk factors of the patients with moyamoya disease (MMD) were analyzed to provide the basis for prediction and management of cerebral infarction after direct bypass surgery in adult MMD. Methods: 1. Retrospective analysis of clinical data was collected from adult MMD patients (n = 250) following superficial temporal artery-middle cerebral artery bypass surgery performed in our hospital from July 2013 to December 2017. Of the 250 patients, all underwent hemispherical bypass surgery, and bilateral surgery was performed on 14 patients. 2. Clinical data were analyzed based on sex, age, hypertension, diabetes, smoking history, history of alcohol use, presurgery cerebral infarction, transient ischemic attack, classification of clinical manifestations, clinical typing, Suzuki stage of surgical side, Suzuki stage of nonoperative side, preoperative Modified Rankin Scale (MRS), and lesions of the postoperative cycle or not. Results: 1. There were significant differences in classification of clinical manifestations, preoperative infarction, clinical typing, and Suzuki stage of nonoperative side (p < 0.05). 2. Logistic regression analysis showed that the independent factors affecting postoperative cerebral infarction were preoperative infarction and the Suzuki stage of nonoperative side (p < 0.05). The preoperative infarction (B 1.431, OR 4.184, 95% CI 1.217–14.382) and the Suzuki stage of nonoperative side (B 0.495, OR 1.640, 95% CI 1.207–2.227) were both risk factors. Conclusion: The possibility of a new cerebral infarction in postoperative patients with a history of cerebral infarction was greater. The Suzuki stages (I–VI) of the nonoperative side was higher and associated with an increased probability of cerebral infarction after surgery.

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